DR. CHANBO SIM DDS
NPI 1760543466
Dentist in Merrillville, IN

Q: What is Chanbo Sim's NPI number?

The NPI number for Chanbo Sim is 1760543466. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Chanbo Sim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Chanbo Sim was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2006PECOS Enrolled

6075 CLEVELAND CIRCLE, MERRILLVILLE, IN 46410(219) 980-0319(219) 980-0379 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Chanbo Sim Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHANBO SIM DDS (NPI 1760543466) is an individual dentist in Merrillville, Indiana, licensed in Indiana (12009372A) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760543466

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CHANBO SIMCredential: DDS

Location Address6075 CLEVELAND CIRCLEMerrillville, IN 46410

Mailing Address6075 Cleveland CircleMerrillville, IN 46410 · (219) 980-0319 · Fax (219) 980-0379

Phone(219) 980-0319

Fax(219) 980-0379

Sole ProprietorNo

Enumeration DateDecember 13, 2006

Last NPPES UpdateNovember 30, 2020

NPPES CertifiedNovember 30, 2020

✔ NPI 1760543466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12009372A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

6075 CLEVELAND CIRCLE, Merrillville, IN 46410

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chanbo Sim Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chanbo Sim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Dental Care PC

Same address

Dentist

6075 CLEVELAND CIRCLE
Merrillville, IN 46410

Reassigned Medicare billing, Indiana enrollment

NPI 1952462657 (219) 980-0319

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY DENTAL CARE PC

Dentist

6075 CLEVELAND CIRCLE
MERRILLVILLE, IN 46410

Lake County (219) 980-0319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chanbo Sim's NPI number?

The NPI number for Chanbo Sim is 1760543466. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Chanbo Sim located?

Chanbo Sim practices at 6075 Cleveland Circle, Merrillville, IN 46410. The listed phone number is (219) 980-0319.

What is Chanbo Sim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Chanbo Sim enrolled in Medicare?

Yes. Chanbo Sim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chanbo Sim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chanbo Sim reassigns Medicare benefits to Family Dental Care PC (Merrillville, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chanbo Sim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chanbo Sim accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 16 other insurers list Chanbo Sim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chanbo Sim was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.